| NPI | 1770087371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J. STOVER Vice Presdident Finance 479-338-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-04-02 |